Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
PRAMS Call-back Surveys (with Opioid Call-back Survey Example) Unchanged 2790 1395 0 Form and Instruction n/a
Form and Instruction n/a
PRAMS Field Test Unchanged 150 100 0 Form and Instruction None
PRAMS Phase 8 and Phase 9 Questionnaires (Core Questions plus State-selected Standard Modules) Unchanged 51556 22341 0 Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
PRAMS Stillbirth Survey Unchanged 160 67 0 Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
PRAMS Supplemental Modules Unchanged 52984 7065 0 Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Submission of Data File to CDC Unchanged 600 300 0 Instruction
Total burden requested under this ICR: 108240 31268 0  
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